COVID-19 Disease During Pregnancy and Peripartum Period : A Cardiovascular Review

Pregnancy with various physiological effects on cardiovascular system, makes mothers with borderline cardiovascular reserve at significant risk for adverse events during labor and early postpartum period. Cardiac imaging modalities, have shown that Coronavrus Disease 2019 disease is associated with subclinical myocardial injury in significant numbers of infected people, even in mild or asymptomatic disease and previous healthy ones. Herein, we have discussed the cardiovascular aspects of prepartum pregnant women with Coronavrus Disease 2019, especially patients with moderate to severe illness. Also, we have proposed how to handle the hemodynamic load during labor and the first 48 hours postpartum in the hypoxemic overloaded parturients with possible sub clinical myocardial injury.

Automated summary

Pregnancy has physiological effects on the cardiovascular system, putting mothers with borderline cardiovascular reserve at significant risk during labor and early postpartum period. COVID-19 is associated with subclinical myocardial injury, even in mild or asymptomatic cases and previously healthy individuals, posing challenges especially for pregnant women with moderate to severe illness.